Provider Demographics
NPI:1124098355
Name:LAWSON, TAMMY C (CNP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:C
Last Name:LAWSON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230B CLARK ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9611
Mailing Address - Country:US
Mailing Address - Phone:740-439-9911
Mailing Address - Fax:740-439-8993
Practice Address - Street 1:1230B CLARK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9611
Practice Address - Country:US
Practice Address - Phone:740-439-9911
Practice Address - Fax:740-439-8993
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP00935363LW0102X
OHRN169260363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LANP02772Medicare ID - Type Unspecified
S78838Medicare UPIN